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HomeMy WebLinkAbout20788-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22261 Date APRIL 16, 1993 THIS CERTIFIES that the building NEW DWELLING Location of Property 310 a k a 707 FLINT STREET GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 48 Block 2 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 30, 1992 pursuant to which Building Permit No. 20788-Z dated JULY 7, 1992 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JONATHAN & GRACIEIA SHELBY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-63-MARCH 23, 1993 UNDERWRITERS CERTIFICATE NO. N-263382 - JANUARY 18, 1993 PLUMBERS CERTIFICATION DATED JANUARY 19, 1993 - WM. KNOERNSCHILD 40-1 uilding Inspector Rev. 1/81 FORK NO. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N° 207882 Date 1 Permission is hereby granted to: .!~.....f.4.$ C~..... uA-A ...1~..~ . a,7. to . at premises located at ...al.A. County Tax Map No. 1000 Section ......0.4.2....... Block Q.1e...... Lot No....Z..J i pursuant to application dated A...... ~ 19.9.=.:1 and approved by the Building Inspector. Fee Bul g Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B., For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.. .Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1155,PO, Commercial $15.00 A / Date .3lwf/`~ New Construction y~ Old Or Pre-existing Building......... . . Location of l.S I ........ez&"-e-Iwz ./l~J~.,......<. House No. Street 1 Hamlet / Dnwer or Owners of Property. JOAN~rA~~ f„~~t County Tax Map No 1000, Section r!..... Block ......f......Lot. ~ Subdivision .Fil~~eyyd Map............ Lot.. ?ermit No..,.;? .....Date Of Permit... r~ /;/Z.Applicant,/W/*M~ ~/!!1. iealth Dept. Approval.ct . Y! .y, . , , , . ,Underwriters Approval. Nat 6~734 197 el~ , , , , , ?lanning Board Approval tequest for: Temporary Certificate............ Final Certicate........... 'ee Submitted: $ . tIS773 C6 zz ~aa~ / APPLICANT 1. ti may- m 0 . ry eO H od ?DUIIDATZON (1st) a c Z 7OUNDATION (2nd) _ m ° W TOUGH FRA14E & o -PLUMBING En m =IISULATION PER N. Y. STATE ENERGY I~ CODE H ~1 o tAXo- FINAL I _ • m ADDITIOPrIAL( COMMENTS: /a 22 2 w N ,,.y _ O Qva rH 'O, eti l" ? - m 0 10, a AA o a 1 y illez/e of greenport UTILITY OFFICE QJI}/}~~+ f Le S INCORPORATED 1838 (516) 477-1748 J NEW INCORPORATION APRIL). 1868 MAYOR RE INCORPORATION UNDER GENERAL LAW MAY 28,1894 FAX (516) 477-1707 WILLIAM R PELL III ~+yy POWER PLANT TRUSTEES _r v1 (516) 477-0172 WILLIAM D ALLEN y ~ SUPT. OF UTILITIES STEPHEN L. CLARKS J.... 0 p N C I S L A M JAMES 1 MONSELL JOHN A. COSTELLO VICTORIA SWENSEN ASST. SUPT. OF UTILITIES 236 THIRD STREET GERALD W HICKSON GREENPORT, NEW YORK 11944 January 20, 1993 Town of Southold Building Department Main Road Southold NY 11971 Dear Mr. Lessard: The following water service lines were recently connected to the Public Water Supply by the Village of Greenport. The installation was done according to our rules and regulations; and to the best of our knowledge, meets with the Suffolk County Health Department standards. The location of the work and the date the job was completed is shown below: Habitat for Humanity Lot Number: 83 7f alb a~?".air Flint Street Reference No: 92-SO-63 '113 Greenport NY 11944 Water District: Outside Date Completed: 12/03/92 Occupant: W. Horton Habitat for Humanity Lot. Number: < 83 31p.'N)p(jp~87 Flint Street Reference No: 92-SO-64 Greenport NY 11944 Water District: Outside Date Completed: 12/03/92 Occupant: John Shelby If I can be of any further assistance, please contact me at (516) 477-1745. Sincerely, Q Gerald W. Hickson Asst Superintendent of Water & Sewer GWH:jgk jan20a Over 100 Years of Community Service THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1195077 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate JANUARY 18,1993 Application No. on file 04022693/93 N 263382 THIS CERTIFIES THAT PERMIT NO. 207882 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of HABITAT FOR HUMANITY, 707 FLINT STREET, GREENPORT, N.Y. in thefollowing location; M Basement EM Ist Fl. El 2nd Fl. ATTIC/OUT Section Block Lot GLD 3 was examined on JANUARY 14 , 1993 andfound to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W AMT. K.W. AMT K.W 11 qMT. K W. AMT. H P. 19 26 17 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT K. W. OIL H. P. GAS H. P. AMT NO. A. W G AMT. AMP. AMT. AMPS TRANAMT. W ARS FEET 3 F 1 30 1 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE METER I ~8 9 sW 3,e' iW NO OF CC. COND. A W. G. NO. OF KIAEG A W. G. NO OF NEUTRALS A W. G. EQUIP. PER B' OF CC. COND. OF HI LEG OF NEUTRAL 1 150 CB 1 X 1 1 1 1 OTHER APPARATUS: G.F.C.I;-6 SMOKE DETECTOR:-2 SCHP,AGE KEVIN LIC.43507-E 10 NORMANDIE LANE EAST MORICHES, NY, 11940 GENERAL MANAGER _ er- ay a identified by their credentials. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may-E.- INSPECTORS ~pgUFFO(kc (516) 765-1802 p OG VICTORLESSARD,Principal SCOTT L. HARRIS, Supervisor CURTIS HORTON, Senior co z Southold Town Hall VINCENT R. WIECZOREK, Ordinance p • P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ~1' pR Southold, New York 11971 Building Inspectors ~0( ~0 Fax (516) 765-1823 Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD January 11, 1993 Mr. Roger Metcalf Habitat for Humanity of Suffolk, Inc. P.O. Box 148 Rocky Point, N.Y. 11778 Re: Premises @ 210 Flint St., Greenport, N.Y. BP #20789-Z 310 Flint St., Greenport, N.Y. BP #20788-Z To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is not on file. $50.00. 2 CO's @ $25.00 each XX No Health Department Approval on file. XX No Final Approval from the Village of Gpt on file. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20788Z & 20789Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. O~jVFFO~ ~O TEL. 765-1802 ^v. 1 lid TOWN OF SOUTH OLD lay-kk71' OFFICE OF BUILDING INSPECTOR u° [E'e ~g~ rn P.O. BOX 1179 0/ c?, a~i O TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. Owner 4 /wr ( lease print d~ Plumber LLjgyf 4INDC-ZAI,54 111-6 (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plumber's signature) Sworn to before me this I day of i 19 93 Notary Public, County Notary ublic BARBARA McWRADY Notary Pubiio, State of Newyork No. 01-MA4701822, Suffolk Co My Commission Expires _ 64J M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO PLBG. [ ] FOUNDATION 2ND ] INSULATION [ ] FRAMING [ ] FINAL REMARK S• r c DATE O INSPECTOR fN Z Do /Ua T iLZ, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST I ROUGH PLBG, FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL R MARKS: l © Z 497,J' u ~ U J r 0 DATE 2-' 1NSPECT1 R i ,Q/L M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ) ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION FRAMING [ 1 FINAL REMARKS: /1" Jtz DATE -Z INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST OUCH PLBG. FOUNDATION 2ND [ ) INSULATION 04-RAMING FINAL REMARKS: d DATE 4fl(~ 2' INSPECTOR BOARD OF HEALTH D L [I~ ,[r',~ ; FORM NO. 1 3 SETS OF PLANS Y... , , n TOWN OFSOUTHOLD SURVEY JINN ~ BUILDING DEPARTMENT CI1ECK •V TOWN HALL SEPTIC FORN _ _ SOUTHOLD, N.Y. 11971 TEL.: 7651802 NOT I FY ; r CALL .~~I: . Examined 19 9A- . MAIL TO: Approved 10?~ Permit No. ;~a ,7, $g . . Disapproved a/c _ . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..Tune. ,29 199 2. INSTRUCTIONS a. This application must be completely filled'in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets :)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~ation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit :hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Zegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.' the applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. Habitat.for Humanity of Suffolk, Inc. _ (Signature of applicant, or name, if a corporation) P.O. Box 148 Rocky Point, NY 11778 (Mailing address of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner ~ame of owner of premises .Ra,bxlpt„for•Humanity of. Suffo. .lk. , Inc. (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. Rage~•Me•tcal£..ExecutiYe. Director (Name and title of corporate officer) Builder's License No. Plumber's License No. .641P..Billy. .grl4erschild Electrician's License No. 252AE.JameS , jpti Q. Electric _ Other Trade's License No . . Location,of land on which proposed work will be done. Lot, 26 .3)() Flint Street Greenport, NY House Number ..Street Hamlet County Tax Map No. 1000 Section . Q0 Block 02 , ~ Lot....... a. .q Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy , b. Intended use and occupancy ...Single Family Residence ~ <ti 3. Nature of work (check which applicable): New Building x.. Addition . Repair Removal . • • • • • • • • Alteration • • • • Demolition .Other Work . 4. EstimatedCost~l Or~~ (Description) Fee (to be paid on filing this application) 5. If dwelling, number of dwellinsl units ....1 • • , , , , , , , , Number of dwelling units on each floor If garage, number of cars . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front . Height Rear Depth . Number of Stories . Dimensions of same structure wIiith alterations or additions: Front • • • • • • • • • • • • • Depth Rear........ Height . . Number of Stories . 8. Dimensions of entire new construction: Front . • 2.4. , Rear .24....:....... Depth Height Number of Stories . 1 49•,, 9. Size of lot: Front .50.0.a Rear 50•.AO . . . . . . . Depth 112.•.S,Q . • . • . • • • • . • . • 10. Date of Pucchase ,q /92 , , , , , • • , , , , .,.Name of Former OwnerNorth .EorK JJQVsing.Al. inac( 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: no 13. Will lot be regraded i Will excess fill be removed from premises: Yes x No 14. Name . of Owner of premises HAITAT. FO$. Hlur1clT?}+,tlgress PO -Box- -148 Name of Architect • Phone No. 821..563.9...... OF..SUFFALK Address RA•Cky• APArl> - NX .11'H§e No. . Name of Contractor . . Address . • • • . • • . • • • • • " 15. Is this property within 300 feet of a tidal ? " " Phone No . *If Yes Southold Pown Trustees Peermi rmit wemay be tland. *Yes No.X....... required. PLOT DIAGRAM Locate clearly and distinctly all 'buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. L ~I . I i TATE OF NE /FOR S.$ OUNTY OF. ( ( f3Name of et indiv c dual signing • ' ' ' ' ' • • • being duly sworn, deposes and says that lie is the applicant contract) ,ove named. is the ...:Corporate- -Of fic•ar F (Hahzt~i , y , , • : ) for Humanit of Suffolk Inc I (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly aluthorized to perform or have performed the said work and to make and file this Plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,rk will be performed in the manner set forth in the application filed therewith. •orn to before me this 3 ~~.dayo 19 tary Public, County CLAIRE L. 01 E1N Mowry Public, State of NewYork . . No. 4879608 Qualified in SSu~NdlkmCbosu~"W (Signature of applicant) Cammiselan Exp 8 FIEF 0"? 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YAsta`D -.0 L 0 A/ 04 SHOIVN HEREON REFEe /-0 %YIAP OF 6REEN909T "x The gwago dis •I and wirier svpply faedHiles for tYiis DR/ IN6 P,4e F/lED 19ECF1Wb,6,f /909 A,5 CCFl".P'369. 4ocahon tfw+e been insp~;cte.I by this P*'I>arlme;itand/or PRE VISES ALSO SHOWN ON MAP FILED 9~22~13 AS #,Z03 other a «ci•.,and found to t;a sa isfatitOry. W`tt DATUM AS PEP, ?YJAR FURNISHED Chief •f rl,70au of WastetW, iNanagerr~on't SURVEY OF PROPERTY Situated at Surveyed by G REENPORT SMITH 9 JUNG TOWN OF SOUT1100 SUFFOLK COUNTY Professional L n Surveyor - NEW YORK 120 MEDFORD AVE. SCALE:1/6' s.. ° ; . PATCH06UE, N.Y. Phone 475-3192 t'1 ~ 2fx^"d %~ea, Survey eerti fled to:~ ` HABITAT FOR HUMAN/TY OF SUFFOLK gyp, W0 N~a~~" ~/AB~TAT"~ DATES SURVEYED: FEBRUARY 911993 ,61 - - 60. i I ,I 1 i~ ti f~ arln4y 'C~. y MA~R~. t ~L D6 r l f r . I III } - - r III - Y _ - - - ~ UgDFIINRItEIISMI1FlGIE - PLUMBERCERVF/CAIION---_ - - - , _ ON LEAD CQNTi~NT BEfORE-- - _ CERTIFICATE OF OCCUPANCY tlPannvrr nc unePn SOLDER USED ITV WATER DATE:_ - a `"y i% L SUPPLY SYSTEM CANNOT B F> [~~0 7 p _ _ EXCEED 211.0 pf,1 % LEAD. _ FEc°~.ialf~,6 NOTIFY BUILDING DEPARTMENT AT R FOLLOWING AM TO IY FOR THE - "MOO INSPECTIONS NS. ' ML Amems 7 . FOUNDATION - 'IWO REQUIRED VWML SW" 12~ft,r ~a,t,~{: it7°6a~ 148 FOR POURED CONCRETE IIG ~$TINfi BEFORE;CO VEIII 2, ROUGH -FRAMING & PLUMBING - - - • - 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.0 ALL CONSTRUCTION SHALL MEET Mappw2W*lpbused THE i i - { - - = r - - - OF N.Y. REQUIREMENTS STATE CONSTRUCTION r;; THE ERGY OCC~JpANCY OR 1arworrdhq?Ihxdinp CODES. 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